Assessment

The patient has a risky behavior that makes her vulnerable to UTI.

The patient didn’t understand what her condition is.

The patient has good readiness to learn.

The patient is interested in learning the causes of her condition and ways of preventing it.

After the process of learning the patient expects to better understanding of her condition, its management
and prevention methods.

 The patient didn’t understand about her condition which is UTI. The patient has a risky behavior
like cleaning the perineum and urethral meatus from back to front after bowel movement,
wearing tight underwear and keeping urine in bladder for long time which makes her vulnerable.
The client has good readiness to learn about her condition, prevention measures and self-care
methods. The patient has no hearing, visual or other impairment that will affect the choice
of teaching strategy or approach.

Nursing Diagnosis

 Deficient knowledge related to insufficient information as evidenced by patient verbalization.

 Ineffective Health maintenance r/t deficient knowledge regarding self-care, treatment of
disease, prevention of further urinary tract infections.

An objective of teaching about recurrent urinary tract infections (UTIs) is their prevention. Health-
related behaviors that help prevent recurrent UTIs include implementing careful personal hygiene,
increasing fluid intake to promote voiding and dilution of urine, urinating regularly and more frequently,
and adhering to the therapeutic regimen. Hygiene

• Shower rather than bathe in tub because bacteria in the bath water may enter the urethra.

• After each bowel movement, clean the perineum and urethral meatus from front to back. This will
help reduce concentrations of pathogens at the urethral opening and, in women, the vaginal opening.
Fluid Intake

• Drink liberal amounts of fluids daily to flush out bacteria.

• Avoid coffee, tea, colas, alcohol, and other fluids that are urinary tract irritants. Voiding Habits

• Void every 2 to 3 hours during the day and completely empty the bladder. This prevents
overdistention of the bladder and compromised blood supply to the bladder wall. Both predispose the
patient to UTI. Precautions expressly for women include the following: Void immediately after sexual
intercourse. Take the prescribed single dose of an oral antimicrobial agent after sexual intercourse.
Therapy

• Take medication exactly as prescribed.

• If bacteria continue to appear in the urine, long-term antimicrobial therapy may be required to
prevent colonization of the periurethral area and recurrence of infection. The medication should be
taken after emptying the bladder just before going to bed to ensure adequate concentration of the
medication during the overnight period.

• For recurrent infection, consider acidification of the urine through ascorbic acid (vitamin C), 1,000 mg
daily, or cranberry juice.

• If prescribed, test urine for bacteria with recommended test devices, such as dip-slides (Microstix), as
follows:

1. Wash around the urethral meatus several times, using different washcloths.

2. Collect a midstream urine specimen.

3. Remove a slide from its container, dip it into the urine sample, and return it to the container.

4. Incubate the slide at room temperature according to product directions.

5. Read the results by comparing the slide with the colony density chart provided with the product.

6. Begin therapy as directed, and complete the full prescribed course of medication.

7. Notify the health care provider if fever occurs or if signs and symptoms persist.

• Consult the health care provider regularly for follow-up, recurrence of symptoms, or infections
nonresponsive to treatment.